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What is Papulopustular Rosacea and How to Treat it

Learn more about papulopustular rosacea and what the 4 subtypes of rosacea look like.

Read on

What is papulopustular rosacea?

Rosacea is a common skin condition that most often affects women after the age of 30.

It has a few different characteristic signs like central facial redness and flushing.

But, just knowing that you are dealing with rosacea is not always the whole story.

Rosacea technically has 4 different subtypes,  (such as with papulopustular rosacea) and it is possible to have more than one of these subtypes present at the same time.

So, in order to know exactly what you are dealing with, you will need to figure out what types of rosacea you are experiencing.

Read on to learn the 4 types of rosacea, including which subtype papulopustular rosacea is considered, and what the most common treatments are for papulopustular rosacea.

What are the 4 types of rosacea?

Subtype 1 - Erythematotelangiectatic rosacea:

Erythematotelagiectatic rosacea is the subtype that consists of the redness and flushing symptoms of rosacea.

This redness can come and go or tend to stick around long term.

This type of rosacea may also include telangiectasias, which are small, fine, dilated blood vessels that can be seen through the skin -- sometimes also referred to as spider veins.

Subtype 2 - Papulopustular rosacea:

Papulopustular rosacea had the main attribute of facial redness along with tiny papules and pustules.

These pustules may have whiteheads and contain pus, and the pustules tend to occur around the central portion of the face.

If severe, papulopustular rosacea can lead to persistent facial redness and puffiness.

This subtype can be easily confused for persistent acne breakouts, but a doctor or dermatologist can usually help you distinguish between the two.

Subtype 3 - Phymatous rosacea

Phymatous rosacea is thickened skin, with enlarged pores, and a surface texture change that starts looking more nodular.

The areas affected in this manner are often the nose, giving it a bulbous appearance, but the ears, chin, and forehead may also be affected.

This type of rosacea occurs more often in men than women.

Subtype 4 - Ocular rosacea

Ocular rosacea occurs when there is eye irritation involved.

This can lead to eye symptoms like redness, wateriness, itching, stinging, dryness, blurriness, conjunctivitis, or blepharitis.

There may be ocular rosacea involvement in 6-50% of patients who are dealing with skin rosacea, and sometimes eye symptoms may be the only rosacea presentation.

Learn More: What Is Ocular Rosacea? How Rosacea Can Affect Your Eyes

Papulopustular rosacea vs. acne

Papulopustular rosacea can be easily misdiagnosed as just acne, and is so similar that it is sometimes referred to as “acne rosacea.”

Some of the most obvious differences between the two are the locations of the pimples, the other symptoms, and how they look.

Rosacea pustules tend to be small, centered on the face, may have small pinpoints of white pus, and often occur shortly after the face becomes red and irritated.

With acne, the pimples can be much larger, be located on the face, neck, or back, often have blackheads and whiteheads, and may come along with extra oil production from the skin.

These differences may not always be easy to see, and it is possible that there can be a mixture of rosacea and acne happening at the same time, so if you aren’t sure it is best to speak with your doctor or dermatologist to get some answers.

Also Read: Rosacea Vs. Acne: How To Spot The Difference

Papulopustular rosacea triggers

Papulopustular rosacea can be triggered by all of the same things that can trigger the other subtypes of rosacea.

Rosacea triggers may include:

  • Extreme temperatures
  • Sunlight
  • Alcohol
  • Spicy food
  • Hot beverages
  • Stress
  • Certain medications
  • Menopausal hot flashes

If you have rosacea and you want better control over your flare-ups, keep an eye on foods, beverages, and activities that may fall into these categories to try and identify your personal triggers and help reduce the severity or occurrence of rosacea flare-ups.

Read Related: How To Use a Rosacea Diary To Identify Your Rosacea Triggers in 5 Steps

How is Papulopustular rosacea treated?

Papulopustular rosacea may need treatments that combine medications that commonly treat the redness aspect of rosacea with common acne medications.

Medications commonly used to treat the redness from rosacea:

  • Brimonidine
  • Oxymetazoline

Medications commonly used to treat the papules and pustules of rosacea:

  • Topical antibiotics (clindamycin, metronidazole)
  • Azelaic acid
  • Benzoyl peroxide
  • Oral antibiotics (resistant cases) for rosacea treatment online

Here at Strut Health, our doctors and pharmacists developed once-daily Strut Rosacea Formula which combines oxymetazoline with azelaic acid to help reduce your rosacea skin symptoms, even if you have a mix of the flushing and acne-like subtypes.

You can have a free online questionnaire-based consultation with our U.S. licensed doctors today, where they can review images of your skin and get you the rosacea treatment you need.

If you are a good candidate for rosacea therapy, your medication can be shipped discreetly to your front door with our free shipping.

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